Kelsey Lorraine Bernier, MS, RD, LD, LMT
NPI 1790080893ActiveIndividual· Dietitian, Registered· Boise, ID
Dietitian, Registered (MS, RD, LD, LMT) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1790080893 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD, LMT |
| Sole proprietor | Yes |
| NPI issued | Jan 20, 2011 |
| Last updated in NPPES | Feb 21, 2023 |
| Certified by provider | Feb 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | D-1022 | ID |
| Massage Therapist | 225700000X | MAS-403 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (ID) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
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